View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

An Exploratory Assessment of Substances Used as Adjuncts or Alternatives to Prescription Opioids CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Yes Yes Fillable Fileable
Other-List of Prescription Opioids Yes No Printable Only
Other-List of Prescription Benzodiazepines Yes No Printable Only
Other-Consent Form Yes Yes Fillable Fileable Signable
Other-Reminder Yes No Printable Only
Other-Interview Guide Yes No Printable Only
Other-Certificate of Confidentiality Yes No Printable Only

Health Health Care Services

 

280 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 280 0 280 0 0 0
Annual IC Time Burden (Hours) 210 0 210 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 08/05/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.